Grand Rounds Recap 9.1.21

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Grand Rounds Recap 9.1.21

Another excellent week of Grand Rounds reflection and learning. Check out the recap here as Dr. Curry shares insights from his work with OH-TF1 on the Surfside Building Collapse, Drs. Kein and Stark provide evidence-based recommendations for management of NSTEMI patients, Dr. Hunt discusses a case of basilar stroke in a patient with SLE, Dr. Milligan challenges Dr. Benoit with a pediatric acute urinary retention case, and Drs. Goff, Ramsey, and Zalesky provide quick hit wisdom in the “There will be blood” edition of the R3 small groups.

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Grand Rounds Recap 5.5.21

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Grand Rounds Recap 5.5.21

This week’s Grand Rounds started off with a journal club on various aspects of emergent heart catheterization with Drs. Berger, Roblee and Thode. This was followed by some evidence by Dr. Sams on the evidence and feasibility of proning in the prehospital setting. Dr. Knight gave a case-based lesson in neuroimaging and finally Drs. Gleimer, Shaw and Hughes gave a sim on buproprion overdose and a guest lecturer on Human Trafficking.

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Grand Rounds Recap 05.27.20

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Grand Rounds Recap 05.27.20

This week Dr. Klaszky presented cases to help us improve our clinical care in the ED with our monthly Morbidity and Mortality conference. Drs. Hall, Modi, and Shaw taught us about marine, reptile, and arthropod envenomations with their R3 small group session. Finally, we were honored to (remotely) host the nationally renowned Dr. Megan Ranney, who gave us an eye-opening presentation on the overlap between gun violence, public health, and the role of emergency medicine.

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Is the Cath Lab the Place to be after V fib VTac Cardiac Arrest?

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Is the Cath Lab the Place to be after V fib VTac Cardiac Arrest?

Ventricular dysrhythmias are commonly caused by coronary ischemia which is most frequently caused by acute coronary artery occlusions in the setting of coronary artery disease. It would seem somewhat logical that patients who suffer a V fib or V Tach cardiac arrest would benefit from a trip to the cardiac catheterization lab to identify and treat these possible acute coronary artery occlusions. Patient’s with EKGs showing ST-elevations following ROSC already go to the Cath lab. Since the EKG is not terrifically sensitive for MI, should V fib V Tach cardiac arrest patients without ST-elevations make a trip to the Cath lab? In this breakdown of our most recent journal club we look at several papers covering this topic. In the podcast below we also talk with Justin Benoit, MD the site PI for the ongoing ACCESS trial which is also looking into this question.

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Grand Rounds Recap 1.9.19

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Grand Rounds Recap 1.9.19

We are excited to share our latest installment of the Grand Rounds Recap with you! Dr. Stettler opened the day with a discussion on leadership styles and how they affect our practice in the emergency department. Next up was Dr. Sabedra with a riveting case of new onset heart failure and acute ischemic stroke in a patient in his twenties. Dr. Berger then gave us a shot to the gut, in a good way, with a lecture on colitis. We then delved into the world of pediatrics with a lecture by Dr. Gray who helps us standardize our approach to evaluating for the possibility of child abuse. Dr. Hughes and Dr. Gottula then ended the day with a practice changing summary of the current literature and a new pathway for the management of NSTEMI.

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Grand Rounds Recap 3.21.18

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Grand Rounds Recap 3.21.18

This week's Grand Rounds opened with year directives focused on residents as teachers for the junior residents and life as a junior faculty for the senior residents. Next Dr. Fermann discussed implementation of our PE response team (PERT). Dr. Li led a great group discussion on EKG toxicology, Dr. Golden then unsuccessfully tried to stump Dr. Hill with his CPC on phenytoin toxicity, and finally Dr. Gorder gave a fantastic discussion on NSTEMIs.

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Grand Rounds Recap 8.17.2016

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Grand Rounds Recap 8.17.2016

This week included our first every chalk-talk about antibiotics focusing on beta-lactams. We had our quarterly AirCare grand rounds where we learned about some special tools we carry on the aircraft including point of care lab testing and specialized suction devices. We also did a high fidelity hemorrhagic shock simulation. In two case follow-ups we learned about some special considerations in ACS and for pregnant patients in trauma. Read on!

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